Atlantic Dental Management Company PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ATLANTIC DENTAL MANAGEMENT COMPANY PA

Doing business as

Lucie Dental

Practice address

1449 NW Saint Lucie West Blvd
Port St Lucie, FL 34986-1968

Phone

(772) 348-4409

Fax

(772) 348-4344

NPI assigned

Sep 4, 2020

Last updated

Sep 4, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Azari

Title

Owner

Phone

(772) 348-4409

Specialties & licenses 1

Addresses

Other names 1

• Lucie Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin J Luba, DMD

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1801040399
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1306450556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 NW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861968",
            "telephone_number": "772-348-4409",
            "fax_number": "772-348-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 NW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861968",
            "telephone_number": "772-348-4409",
            "fax_number": "772-348-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DENTAL MANAGEMENT COMPANY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "AZARI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-348-4409"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucie Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerry D Aston, DMD
• Michael Timothy Aston, DMD
• Carly Athanasatos
• Atlantic Care Home Health West Palm Beach LLC (Atlantic Care Services)
• Atlantic Coast Anesthesia Associates
• Atlantic Isles Inpatient Services,LLC.
• Atlantic Skin Surgery LLC
• Atlantic Spine of South Florida, LLC
• Vernon Thomas Atreidis, MD
• Anthony F Attanasio, LMHC, MCAP, QS

• Dentist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.